A Rare Complication of HVAD Outflow Thrombosis and the Importance of HVAD Waveform Analysis

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
J. Ning, N. Gaglianello
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引用次数: 0

Abstract

We present a case of a 64-year-old female who was supported with an HVAD as bridge-to-transplant (BTT) who presented with a gastrointestinal (GI) bleeding and underwent esophagogastroduodenoscopy (EGD) and colonoscopy. Her waveforms changed abruptly following the procedure, and she decompensated. With various imaging modalities and hemodynamic monitoring, we felt that she had thrombus in her outflow graft, which improved following systemic heparinization. She was listed for cardiac transplantation and remained hospitalized. At the time of surgery, her outflow graft was noted to be compressed externally and pathology was consistent with platelet-fibrin thrombus deposition.
HVAD流出血栓形成的罕见并发症及HVAD波形分析的重要性
我们报告了一例64岁女性患者,她接受了HVAD作为移植桥(BTT),她表现为胃肠道(GI)出血,并接受了食管胃十二指肠镜(EGD)和结肠镜检查。手术后她的波形突然改变,她失去了代偿能力。通过各种成像方式和血流动力学监测,我们认为她的流出静脉移植物有血栓,在全身肝素化治疗后有所改善。她被列入心脏移植名单,并一直住院。在手术时,她的流出移植物被注意到外压,病理符合血小板-纤维蛋白血栓沉积。
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来源期刊
Case Reports in Cardiology
Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
63
审稿时长
13 weeks
期刊介绍: Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.
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